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CompletedNCT00891371MEDARDUpdated Jan 15, 2019Results posted

Lanreotide Autogel in the Symptomatic Treatment of Refractory Diarrhea

A Phase 2/3 interventional study of lanreotide (Autogel formulation) in Diarrhea, sponsored by Ipsen. Completed at 11 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-15.

Sponsored by Ipsen · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
42
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study, is to assess the effect of lanreotide Autogel 120mg on stool frequency in subjects with refractory diarrhea at day 28 (mean of last 7 days) compared to baseline.

02

Conditions studied

  • Diarrhea

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Keywords

  • symptomatic treatment of patients with refractory diarrhea
03

In context

Diarrhea

852 studies on the registry are indexed under Diarrhea; 78 are open to participants now.

This study's enrollment of 42 is below the median of 136 across 713 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Ipsen is the lead sponsor of 282 studies on the registry; 16 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 19 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male/female with refractory diarrhea for at least 1 month, after normal extended work-up to exclude causes of diarrhea, not or not enough responding to standard anti-diuretics as evaluated by the investigator
  • Patient mentally fit for completing a diary

Exclusion criteria

Exclusion Criteria:

  • Has already received a treatment with somatostatin analogues for the treatment of refractory diarrhea
  • Had a weight of stool \< 600g in a 72hrs stool collection
  • Has received a treatment with laxatives within the last week before study entry
  • Suffers from IBS with alternating bowel habits and predominant constipation, suffers from infectious and/or inflammatory gastro-enteritis (colitis ulcerosa, crohn's disease and macroscopic colitis)
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    lanreotide (Autogel formulation) Autogel 120mg

    lanreotide (Autogel formulation) Autogel 120mg

    Drug: lanreotide (Autogel formulation)

Interventions

  • Druglanreotide (Autogel formulation)

    Autogel 120mg

06

What researchers measure

Primary outcomes

  1. Percentage of Patients Having Minimum Reduction of 50% or Normalization (≤3 Stools/24hours) in the Mean Number of Stools (Mean of Last 7 Days)

    Time frame: Day 28

Secondary outcomes

  1. Change in QOL-Quality of Life {Assess Using Short Form (SF-36) and Irritable Bowel Syndrome (IBS)-QOL} Compared to Baseline

    SF36 QOL includes 1 multi-item scale measuring each of 8 health concepts. These scores are summed to produce raw scale scores for each health concept which are transformed to a 0-100 scale. The lower the score the more disability. The higher the score the less disability. There is in addition a single-item measure of Health Transition IBS-QOL is a self-report QOL measure specific to IBS that can be used to assess impact of IBS and its treatment. This consists of 34 items,each with a 5 point response scale.Individual responses to 34 items are summed and averaged for a total score and transformed to a 0-100 scale with higher scores indicating better IBS specific QOL

    Time frame: Baseline (Day 1), Day 21, Day 28, Day 49 and Day 56

  2. Change in Median Score of Stool Consistency (Bristol Stool Form Scale) Compared to Baseline

    Each patient scored his/her stool on the Bristol Stool Form Scale: Type 1 - Separate hard lumps, like nuts (hard to pass); Type 2 - Sausage-shaped but lumpy; Type 3 - Like a sausage but with cracks on its surface; Type 4 - Like a sausage or snake, smooth and soft; Type 5 - Soft blobs with clear-cut edges (passed easily); Type 6 - Fluffy pieces with ragged edges, a mushy stool; Type 7 - Water no solid pieces, Entirely liquid

    Time frame: Baseline (day 1), day 28 and day 56

  3. Percent Change in Mean Number of Stools Compared to Baseline

    Time frame: Baseline (Day 1), Day 28 and Day 56

  4. Change From Baseline in Relative Frequency of Normalization (≤3 Stools) in Subjects

    Normalization of stool frequency in subjects with refractory diarrhoea at Day 28 and Day 56 (mean of last 7 days) compared to Baseline.

    Time frame: Baseline (Day 1), Day 28 and Day 56

  5. Percentage of Patients Having Minimum Reduction of At Least 50% or Normalization of the Mean Number of Stools

    Time frame: Day 56

07

Results

Posted Sep 29, 2015

Participant flow

This was a multicentered study performed at 18 investigational sites in Belgium of which 11 recruited patients.

Pre-assignment
Participant flow — Pre-assignment
MilestoneLanreotide Autogel 120 mg
Started42
Completed36
Not completed6
Withdrew: Inclusion/exclusion5
Withdrew: Consent withdrawal1
Treatment
Participant flow — Treatment
MilestoneLanreotide Autogel 120 mg
Started36
Completed27
Not completed9
Withdrew: Lack of efficacy5
Withdrew: Adverse event2
Withdrew: Death1
Withdrew: Lost to follow-up1

Outcome measures

PrimaryPercentage of Patients Having Minimum Reduction of 50% or Normalization (≤3 Stools/24hours) in the Mean Number of Stools (Mean of Last 7 Days)
Time frame:
Day 28
Reported as:
Number · Percentage of patients
Percentage of Patients Having Minimum Reduction of 50% or Normalization (≤3 Stools/24hours) in the Mean Number of Stools (Mean of Last 7 Days)
Percentage of patientsLanreotide Autogel 120 mg
Reduction of at least 50% or normalization - Yes44.4
Reduction of at least 50% or normalization - No55.6
SecondaryChange in QOL-Quality of Life {Assess Using Short Form (SF-36) and Irritable Bowel Syndrome (IBS)-QOL} Compared to Baseline

SF36 QOL includes 1 multi-item scale measuring each of 8 health concepts. These scores are summed to produce raw scale scores for each health concept which are transformed to a 0-100 scale. The lower the score the more disability. The higher the score the less disability. There is in addition a single-item measure of Health Transition IBS-QOL is a self-report QOL measure specific to IBS that can be used to assess impact of IBS and its treatment. This consists of 34 items,each with a 5 point response scale.Individual responses to 34 items are summed and averaged for a total score and transformed to a 0-100 scale with higher scores indicating better IBS specific QOL

Time frame:
Baseline (Day 1), Day 21, Day 28, Day 49 and Day 56
Reported as:
Mean · units on a scale
Change in QOL-Quality of Life {Assess Using Short Form (SF-36) and Irritable Bowel Syndrome (IBS)-QOL} Compared to Baseline
units on a scaleLanreotide Autogel 120 mg
SF36 QOL: Physical Functioning (D21), n=33-1.3 ± 20.5
SF36 QOL: Physical Functioning (D28), n=342.4 ± 19.6
SF36 QOL: Physical Functioning (D49), n=262.9 ± 18.9
SF36 QOL: Physical Functioning (D56), n=351.1 ± 23.3
SF36 QOL: Role Physical (D21), n=334.5 ± 19.6
SF36 QOL: Role Physical (D28), n=3412.9 ± 21.8
SF36 QOL: Role Physical (D49), n=266.3 ± 28.3
SF36 QOL: Role Physical (D56), n=3511.8 ± 23.5
SF36 QOL: Role Emotional (D21), n=33-0.3 ± 34.8
SF36 QOL: Role Emotional (D28), n=343.4 ± 40.7
SF36 QOL: Role Emotional (D49), n=257.0 ± 35.2
SF36 QOL: Role Emotional (D56), n=355.0 ± 39.6
SF36 QOL: Vitality (D21), n=323.1 ± 22.1
SF36 QOL: Vitality (D28), n=335.9 ± 22.2
SF36 QOL: Vitality (D49), n=242.1 ± 24.6
SF36 QOL: Vitality (D56), n=347.2 ± 23.9
SF36 QOL: Mental Health (D21), n=325.8 ± 27.9
SF36 QOL: Mental Health (D28), n=338.3 ± 28.2
SF36 QOL: Mental Health (D49), n=248.3 ± 27.1
SF36 QOL: Mental Health (D56), n=3410.1 ± 27.7
SF36 QOL: Social Functioning (D21), n=319.3 ± 27.8
SF36 QOL: Social Functioning (D28), n=3316.7 ± 29.8
SF36 QOL: Social Functioning (D49), n=2419.3 ± 34.8
SF36 QOL: Social Functioning (D56), n=3314.0 ± 31.5
SF36 QOL: Bodily Pain (D21), n=33-4.6 ± 31.5
SF36 QOL: Bodily Pain (D28), n=348.3 ± 28.6
SF36 QOL: Bodily Pain (D49), n=268.8 ± 29.2
SF36 QOL: Bodily Pain (D56), n=355.3 ± 30.7
SF36 QOL: General Health (D21), n=33-2.8 ± 16.0
SF36 QOL: General Health (D28), n=332.8 ± 16.8
SF36 QOL: General Health (D49), n=264.1 ± 19.1
SF36 QOL: General Health (D56), n=343.7 ± 19.9
IBS QOL: Total Score (D21), n=279.9 ± 21.5
IBS QOL: Total Score (D28), n=2613.9 ± 22.0
IBS QOL: Total Score (D49), n=2216.8 ± 22.5
IBS QOL: Total Score (D56), n=2916.3 ± 22.5
SecondaryChange in Median Score of Stool Consistency (Bristol Stool Form Scale) Compared to Baseline

Each patient scored his/her stool on the Bristol Stool Form Scale: Type 1 - Separate hard lumps, like nuts (hard to pass); Type 2 - Sausage-shaped but lumpy; Type 3 - Like a sausage but with cracks on its surface; Type 4 - Like a sausage or snake, smooth and soft; Type 5 - Soft blobs with clear-cut edges (passed easily); Type 6 - Fluffy pieces with ragged edges, a mushy stool; Type 7 - Water no solid pieces, Entirely liquid

Time frame:
Baseline (day 1), day 28 and day 56
Reported as:
Median · units on a scale
Change in Median Score of Stool Consistency (Bristol Stool Form Scale) Compared to Baseline
units on a scaleLanreotide Autogel 120 mg
Change from Baseline to Day 280.0 (-3 to 1)
Change from Baseline to Day 56-0.5 (-4 to 1)
SecondaryPercent Change in Mean Number of Stools Compared to Baseline
Time frame:
Baseline (Day 1), Day 28 and Day 56
Reported as:
Mean · Percent change
Percent Change in Mean Number of Stools Compared to Baseline
Percent changeLanreotide Autogel 120 mg
Change from Baseline to Day 28-25.9 ± 36.7
Change from Baseline to Day 56-30.7 ± 38.0
SecondaryChange From Baseline in Relative Frequency of Normalization (≤3 Stools) in Subjects

Normalization of stool frequency in subjects with refractory diarrhoea at Day 28 and Day 56 (mean of last 7 days) compared to Baseline.

Time frame:
Baseline (Day 1), Day 28 and Day 56
Reported as:
Mean · Percentage of days per Week
Change From Baseline in Relative Frequency of Normalization (≤3 Stools) in Subjects
Percentage of days per WeekLanreotide Autogel 120 mg
Change from Baseline to Day 2827.5 ± 34.7
Change from Baseline to Day 5633.0 ± 34.3
SecondaryPercentage of Patients Having Minimum Reduction of At Least 50% or Normalization of the Mean Number of Stools
Time frame:
Day 56
Reported as:
Number · Percentage of participants
Percentage of Patients Having Minimum Reduction of At Least 50% or Normalization of the Mean Number of Stools
Percentage of participantsLanreotide Autogel 120 mg
Reduction of at least 50% or normalization - Yes54.3
Reduction of at least 50% or normalization - No45.7

Adverse events

Collected over Up to Day 56 (± 2). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lanreotide Autogel 120 mg—5/36 (13.9%)30/36 (83.3%)
Most frequent serious events
Most frequent serious events
EventLanreotide Autogel 120 mg
PancytopeniaBlood and lymphatic system disorders1/36
SteatorrhoeaGastrointestinal disorders1/36
BronchopneumoniaInfections and infestations1/36
PneumoniaInfections and infestations1/36
HypovolaemiaMetabolism and nutrition disorders1/36
SyncopeNervous system disorders1/36
DepressionPsychiatric disorders1/36
Vaginal fistulaReproductive system and breast disorders1/36
Respiratory failureRespiratory, thoracic and mediastinal disorders1/36
Most frequent other events
Showing 10 of 11
Most frequent other events
EventLanreotide Autogel 120 mg
Abdominal painGastrointestinal disorders9/36
NauseaGastrointestinal disorders4/36
FatigueGeneral disorders4/36
HeadacheNervous system disorders4/36
Injection site noduleGeneral disorders3/36
Decreased appetiteMetabolism and nutrition disorders3/36
ConstipationGastrointestinal disorders2/36
SteatorrhoeaGastrointestinal disorders2/36
Influenza like illnessGeneral disorders2/36
Back painMusculoskeletal and connective tissue disorders2/36

Baseline characteristics

The Safety population was defined as all subjects who received at least one injection of the study medication.

Age, Continuous
Age, Continuous(Years)Lanreotide Autogel 120 mg
Mean55.2 ± 16.4
Age, Customized
Age, Customized(participants)Lanreotide Autogel 120 mg
<30 years2
>=30 to <65 years22
>=65 years12
Sex: Female, Male
Sex: Female, Male(Participants)Lanreotide Autogel 120 mg
Female24
Male12
Race [Caucasian / White]
Race [Caucasian / White](Participants)Lanreotide Autogel 120 mg
Number36
Quality Of Life (QOL) - Scales
Quality Of Life (QOL) - Scales(units on a scale)Lanreotide Autogel 120 mg
SF36 QOL: Physical Functioning60.5 ± 29.1
SF36 QOL: Role Physical39.6 ± 30.9
SF36 QOL: Role Emotional52.8 ± 38.7
SF36 QOL: Vitality38.8 ± 24.1
SF36 QOL: Mental Health47.6 ± 23.1
SF36 QOL: Social Functioning41.1 ± 31.2
SF36 QOL: Bodily Pain48.7 ± 30.4
SF36 QOL: General Health43.9 ± 22.8
IBS QOL: Total Score47.4 ± 18.5
Score of Stool Consistency (Bristol Stool Form Scale)
Score of Stool Consistency (Bristol Stool Form Scale)(units on a scale)Lanreotide Autogel 120 mg
Median6.0 (5 to 7)
Mean Number of Stools
Mean Number of Stools(Number of Stools)Lanreotide Autogel 120 mg
Mean5.5 ± 2.3
08

Study locations

11 sites
  • OLVZ Aalst
    Aalst, 9300, Belgium
  • ZNA Antwerpen
    Antwerpen, 2060, Belgium
  • AZ Sint Lucas Brugge
    Brugge, 8310, Belgium
  • UZ Antwerpen #2
    Edegem, 2650, Belgium
  • ZOL
    Genk, 3600, Belgium
  • AZ Maria Middelares
    Gent, 9000, Belgium
  • UZ Gent
    Gent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • CHC Cliniques Saint Joseph
    Liège, 4000, Belgium
  • CHU A. Vesale
    Montigny-le-Tilleul, 6110, Belgium
  • AZ Sint-Augustinus
    Wilrijk, 2610, Belgium
09

References and documents

Publications

  • Bisschops R, De Ruyter V, Demolin G, Baert D, Moreels T, Pattyn P, Verhelst H, Lepoutre L, Arts J, Caenepeel P, Ooghe P, Codden T, Maisonobe P, Petrens E, Tack J. Lanreotide Autogel in the Treatment of Idiopathic Refractory Diarrhea: Results of an Exploratory, Controlled, Before and After, Open-label, Multicenter, Prospective Clinical Trial. Clin Ther. 2016 Aug;38(8):1902-1911.e2. doi: 10.1016/j.clinthera.2016.06.012. Epub 2016 Aug 8. PubMed 27423779 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00891371
Lead sponsor
Ipsen
Responsible party
Sponsor
First posted
May 1, 2009
Start date
Jul 2009
Primary completion
Aug 2012
Completion
Aug 2013
Results posted
Sep 29, 2015
Last update
Jan 15, 2019

Study contacts

Ipsen Medical Director
study director · Ipsen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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